Organization
AHLQUIST EYE CARE PROFESSIONALS, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BETSY K AHLQUIST O.D. (CEO)
(330) 702-3937
Entity
Organization
Contact information
Practice address
45 MANOR HILL DR STE 100, CANFIELD, OH 44406-1538
(330) 702-3937
(330) 702-1911
Mailing address
45 MANOR HILL DR STE 100, CANFIELD, OH 44406-1538
(330) 702-3937
(330) 702-1911
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5455
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE8432
MEDICARE RAILROAD
OH
Enumeration date
12/20/2007
Last updated
02/25/2020
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